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11/24/2003 09:27 FAX 14024714429 Please rearm to: STATE OF NEBRASKA DEPART ffi T OF REVENUE 1811 WEST 2Np ST STE 460 GRAND ISLAND NE 68803 NEBRASKA UCC 200315339 Z 003/004 State Tax Lien Statement of Termination Ir or Certificate of Partial Release or elon«xaa Subordination dOWAMbaa at rovea4e Type of Action F TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number County Instrumens.NuJm-Ser 98- 112800 TAX YEARS (corporate, Individual Income, and withholding tax only) PARTIAL RELEASE, The State lax Lien is partially released as follows: UGC Instrument Number County Instrument Number TAX YEARS (corporate, Individual income, and withholding tax only) 71 SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in determination of the ter, inatior„ partial release, or subord nation indicated above. (- } sign Revenue Senior Agent 11/20/2003 308- 385 -6073 here 1► Preparer'S Signature Title Date Telephone Number Revenue Supervisor 11/20/2003 d S i na ur T'tle Date r��6 e 4- 232.66 Rev. 6.96 Supersedes 4.232 -69 Rev. 9495 PLEASE DO NOT WRITE IN THIS SPACE Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the State Tax Lien which has been duly filed by the Nebraska Department of Revenue against the below -named taxpayer, is terminated, partially released, or subordinated to the extent indicated below, Nebraska Identification Number Tax Category Federal Identification Number I Social Security Number 7841779 .21 91- 1789212 Lien Serial Number Lien filed with Cate of Lien County 8/12/356 L4 Register of Deeds ❑ County Clerk 12121/1998 Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Complete Medical Care, Inc. Street Address Street or Mailing Address 2929 South 1 -ocust Street City State Zip Code City State Zip Code Grand Island NE 68801 Type of Action F TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number County Instrumens.NuJm-Ser 98- 112800 TAX YEARS (corporate, Individual Income, and withholding tax only) PARTIAL RELEASE, The State lax Lien is partially released as follows: UGC Instrument Number County Instrument Number TAX YEARS (corporate, Individual income, and withholding tax only) 71 SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number County Instrument Number I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in determination of the ter, inatior„ partial release, or subord nation indicated above. (- } sign Revenue Senior Agent 11/20/2003 308- 385 -6073 here 1► Preparer'S Signature Title Date Telephone Number Revenue Supervisor 11/20/2003 d S i na ur T'tle Date r��6 e 4- 232.66 Rev. 6.96 Supersedes 4.232 -69 Rev. 9495